NPI | 1699091868 |
---|---|
Former Name | SALLY ANN BREHM LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006150) |
Enumeration Date | 2010-04-13 |
Last Update Date | 2010-04-13 |